HomeMy Public PortalAbout6275 SULTANA AVE_Electrical__ 75553_CE806I/70 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER � FIING
BUILDING AND SAFETY DIVISION 1 SS
JOHN A. LAMBIE, COUNTY ENGINEER ITY
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGEST
FOR APPLICANT TO FILL IN I CROSS ST
OUTLETS NO. EACH FEE I
$ $ i OWNER �
RECE.PT._ MAIL
ADDRESS
LIGHT TOTAL FIRST 20 .20 CITY TEL. NO
SWITCH_ OVER 20 •10
PLN CHECK
FIRST 20. .20 l APPLICANT
LIGHTING
FIXTURES TOTAL
.f0
OVER 20 ADDRESS
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APPLIANCES CITY TEL. NO.
PERIT
RANGE DRYER_WTR. HTR. - APPLICANT
STA. COOK DISP. F.A.U. ADDRES
SPACE HTR. AIR GOND. CITY TEL. N .r b
CLOTHES WASH. DISHWASH. LICENSE NO. CLASS.
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
'IND. HEATERS, ETC. HP. KW. KNA. ELECTRICAL WIRING.
SIZE & TYPEOVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR.
O - 1 100 I LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO
1 - 10 3.00 RESIDE IN, THE ABOVE 9ESCRIBED RESIDENTIAL PROPERTY.
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SIGNATURE d
10 - 50 5.00 I OF PERMITTEE 0
50 - 100 10.00
DISTRICTN�CLASS JO� ZON P R0 FS E Y /�O
100 — Soo 15.00 `�o
SIGN, GAS NOTES: r LU
SIGN AND ONE CIRCUIT 3.00
TUBE, OR , H
MARQUEE ADDITIONAL CIRCUITS 1.001 1 'fL 9 Z
SERVICENOTOVER 600VOLTSOR200AMP 2.00 CV
SERVICEOVER600VOL:TSOR200AMP 5.00 1 APPROVALS DATE INSPECTOR'S SIGNATURE
11
TEMP.POWER POLE
TEMP SERVICE,POLE,INAPPURTENANCES 3.00
I UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
1 POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE). UTILITY CO. NOTIFIED
PERMIT ISSUING FEE 2.00
FINAL
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
JOSEPH C. ROOHAN
TOTAL FEE V SUPERVISING ELE .ENGINEER
PLAN CHECK VALIDATION CK. M.Oi CASH PERMIT VALIDATION CK. M.0. CASH
1
Ufn 7 1 9.49 OCT l 5 2 n 4.00- 4
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE I r"
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